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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15004203/25/2014FORM
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This hospital form needs to be filled out by any individual seeking medical treatment or services at the hospital.
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This is a hospital refers to a type of facility that provides medical treatment and care for patients with various health conditions.
Typically, healthcare institutions such as registered hospitals, clinics, and health systems are required to file this report.
To fill out this report, one should provide the required data in the specified format, ensuring accuracy and completeness of the information.
The purpose of this report is to collect data for healthcare analysis, funding, and to ensure compliance with health regulations.
Information such as patient admissions, treatments provided, services offered, and financial data must be reported.
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